Provider Demographics
NPI:1396946851
Name:TAMES, DAWN PERI (DC)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:PERI
Last Name:TAMES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31396 N 60TH ST
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-3069
Mailing Address - Country:US
Mailing Address - Phone:480-206-8071
Mailing Address - Fax:
Practice Address - Street 1:10613 N HAYDEN RD
Practice Address - Street 2:SUITE J-108
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5683
Practice Address - Country:US
Practice Address - Phone:480-315-8444
Practice Address - Fax:480-315-1244
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5331111N00000X
AZ3027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ75376Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER